Impact of Organism Reporting from Endotracheal Aspirate Cultures on Antimicrobial Prescribing Practices in Mechanically Ventilated Pediatric Patients-Reference-Cited by-同舟云学术

Impact of Organism Reporting from Endotracheal Aspirate Cultures on Antimicrobial Prescribing Practices in Mechanically Ventilated Pediatric Patients

Published:2022-11-16 Issue:11 Volume:60 Page:
ISSN:0095-1137
Container-title:Journal of Clinical Microbiology
language:en
Short-container-title:J Clin Microbiol

Author:

Prinzi Andrea M.¹²^ORCID,Wattier Rachel L.³,Curtis Donna J.²,Ziniel Sonja I.²,Fitzgerald Allyson⁴,Pearce Kelly²,Parker Sarah K.²

Affiliation:

1. Clinical Science, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA

2. Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado, USA

3. Department of Pediatrics, University of California–San Francisco, San Francisco, California, USA

4. Department of Pathology, Microbiology, Children’s Hospital Colorado, Aurora, Colorado, USA

Abstract

Endotracheal aspirate cultures (EACs) help diagnose lower respiratory tract infections in mechanically ventilated patients but are limited by contamination with normal microbiota and variation in laboratory reporting. Increased use of EACs is associated with increased antimicrobial prescribing, but the impact of microbiology reporting on prescribing practices is unclear. This study was a retrospective analysis of EACs from mechanically ventilated patients at Children’s Hospital Colorado (CHCO) admitted between 1 January 2019 and 31 December 2019. Chart review was performed to collect all culture and Gram stain components, as well as antibiotic use directed to organisms in culture. Reporting concordance was determined for each organism using American Society for Microbiology guidelines.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

Link

https://journals.asm.org/doi/pdf/10.1128/jcm.00930-22

Reference18 articles.

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4. Challenging the “Culture” of the Tracheal Aspirate

5. Decision-Making Around Positive Tracheal Aspirate Cultures

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